# CENTENNIAL SURGUNIT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centennial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912909433
- **Authorized official:** MR. STEPHEN BARAINYAK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (856) 874-0790

## Contact information

- **Practice address:** 502 CENTENNIAL BLVD, SUITE 1, VOORHEES, NJ 08043-9544
- **Practice address phone:** (856) 874-0790
- **Practice address fax:** (856) 751-0349
- **Mailing address:** 502 CENTENNIAL BLVD, SUITE 1, VOORHEES, NJ 08043-9544
- **Mailing address phone:** (856) 874-0790
- **Mailing address fax:** (856) 751-0349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 22835 | NJ | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 08/26/2014